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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: s s F Planning and Developm en t Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMIT TVPE:Aluminum without concrete PROPOSED IMPROVEMENT LOCATION: Address: 18503 Tranquility Base Ln Port St Lucie, FL 34987 Property Tax ID #: 3215-801-0074-000-7 Site Plan Name: Wack Project Name: Wack DETAILED DESCRIPTION OF WORK: Install a 71'8" x 38' 6" aluminum/screen pool enclosure on slab by pool company. CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: _Mechanical — Gas Tank _ Gas Piping — Shutters Lot No. 21 Block No. 3 — Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 19,471.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Damon Wack Name: Michael J Newman Address: 18503 Tranquility Base Ln Company: Pioneer Screen Co. Inc. 11 p Y= City: Port St Lucie State: Address. 1682 SW Biltmore St Zip Code: 34987 Fax: City. Port St Lucie State: FL Phone No. 561-379-8941 Zip Code: 34984 Fax: 772-340-4626 E -Mail: Phone No 772-340-4393 Fill in fee simple Title Holder on next page [ if different E -Mail pioneerscreen@msn.com from the Owner listed above) State or County License RX11066919 if unhia of rnnet--ti— -., 47rnn _ .��.- ---......., ...Ic vvJ1gllCIfGCIfler7L is requlrea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION DESIGNER/ENGINEER: .—Not Applicable Name: Do Kim & Associates Address: PO Box 10039 City: Tampa Stag: FL Zip: 33879 —Phone &13 557-9955 FEE SIMPLE TITLE HOLDER: ` Not Applicable Name. Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City. Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: of Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that nyo work or installation has commenced prior to the issuance of a permit. wh ch is inoconflict with aony applicablelHa ea OwnersAssscg a aY nl rwill esabylaws or and covenants enanntss that build prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your pro rty. A Notice of Commencement must be recorded and post on the jobsite before the inspectio , ! you intend to obtain financing, consult wiender or an/�o ney before com en 'n war or r or in our Notice of Commencement./' Signature of STATE OF FLORIDA COUNTY OF Saint Lucie r as Agent for Owner The for ing mstrurre was acknowledged before me this day of 20o� jby Is Michael J Newman Name of person making statement Personally Known ,,, OR Produced identification Type of Identification Signatur of Contract q Licen e Holder STATE OF FLORIDA COUNTY OF saint Lucie The f rg ing instrum nt w s acknowledge before me this day of 20 -, , by Michael J Newman Name of person eking statement Personally Known �r'f OR Produced Identification _ Type of Identificatio Produced (Signature of Notary Public I ignature o Notary Public- Commission No. GG221434 �Q�'vey Notary Public State of Florida gne Newman 41, GG221434 r aU r�4� Notary Public State of Florida F" 8 l�ieWt7tan y oh mission GG 221434 mmission No. Mlission GG 221434 Pa Ex¢ires 05/2312022`. a" o� Expires 05123/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev, 8/2/17 BOARD OF PLANNING $ DEVELOPMENT COUNTY0 SERVICES DEPARTMENT COMMISSIONERSF L . • Building & Code Regulation CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMMT Date: Permit Number• Technician: ReguirreI Documents. Application completely filled out with Notarized Signatures. .......... YesNa N/A Sub Agreements with Notarized Signatures (prior to issuance) .......................... Yes No N/A ✓ 0%mer / Builder Affidavit (signed in office) .............:................................... Yes No NIA f Filled Land Affidavit (prior to issuance) .......................... .........................Yes No NIA V Recorded Wai-rany Deed, if applicable ....o ..................... ' ..:......... Yes -No NIA Recorded Notice -of Commencemement (prior to issuance or inspection). .............. Yes` +/ No NIA Utility Agreement or Payment Receipt (prior to issuance) ... . ............................. Yes No NIA Vegetation Removal Application with copy of survey ..................................... Yes No NIA Pians Calculations & Attachments (3 copies commercial, 2 copies residential). Complete set of plans with Engineer / Architect Raised Seal ........................... Yes VINO. NIA, Truss Plans reviewed and approved by Engineer / Architect ............................ Yes No NIA Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No NIA V Approved Site Plans .................................................. I.......................... Yep No NIA ✓ Sealed Survey with Dimensions, Finished floor ............................................ Yes No N/A Elevations and Setbacks ........ . ......................... .................. .... Yes_ No V( NIA_ Plotplan with Setbacks. .................................................... Yes V No N/A Health Dep ortment �a�o��oomo�y���m�n�n _�r'~'^~ ^ plan- ........................ YmsNm__� l/ Health Department Food Establishment Por/it stamped. oOfloor plan ................. Yes _-_ �� ----NIA-__ _--- / Manual "T"or "]�` (��/cn{a��os ~^~^~� ................................................... Yes �h� w/ � Manufacture Blocking Documents ................................................. '^~--'Yes � __V Signed Enezgy'Ca}culatioos (} original oigoubure)-''-'-',''.'^^._'.-,.~'........... Yes No �[�� / Nq___ __- ---- � Sealed Wind Load Compliance Certification ........................................... Yes Nm Product Review Affidavit ...................................................... .............. ' Yes _No er� / Health ���t � ^^~�~'""^w` Paperwork ......................................................... No ��� , ___ CT]for Fire Department ifcommercial qrouolti-familv'........................ ......... Yem____Nm___ DEP, Sy0/MD$rArmy Corp of Engineers (dock, seawall, SFoobeach) ............ No NIA^/ P¢n|/ ~~^~^A^^^"=vu---'''-__'^--~--'.__-..................................... Y"___NwNIA V Ground ��� ./ --�.�==^�o��n/°�uu�vu\u/�ou�------,^^--_---_-^~-_-._--Yeo No____ Bum Rate for ��m�a��u:�; � __�_ _____.,_____^_,__...__________,,-�KmoL--'y��_-_ RV and Mobile -Home Tic -Down Only (3 / x Permit. Worksheet (/ie_uunwnDiagram) ...................................................... Yes �� l/ ---- --_� _--- / Manufacture Set -Up � dTo�tbT�inn��enum}---.~.'..`.._--_--.--.'.-''- ��o y� o w/ � Manufacture Blocking Documents ................................................. '^~--'Yes No ---- Signed Penetrometer Test (I copy) ......................................................... Yes Nq___ StairDetails .................... ^................................................................ NoNIAMobile v' {Home Inspection Report �}r�8���d�VD/U3��on�6_..---_-.-......... NmNIA\/ / Copy ofTitle for Relocation (used only) .................................................... Nm___ Private- ',��---iva-oobile}xoocn-r- u/ Revised 7/27/18